Have you reviewed your HHA’s expanded HHVBP Model Oct. 2023 IPR?

by Elaine Gardner, MS, RN, COS-C

Use your HHA’s Interim Performance Report (IPR) to assess and track performance relative to peers in your HHA’s cohort


October 2023 IPRs – published October 26, 2023 on iQIES

The second quarterly Preliminary IPRs for the expanded HHVBP Model provide HHAs with the cohort assignment, performance year measure data for the 12 most recent months, and interim Total Performance Score (TPS). Using the IPR, an HHA can assess and track their performance relative to peers in their respective cohort throughout the expanded Model performance year. Instructions on how to access the IPRs are available on the Expanded HHVBP Model webpage, under “Model Reports.”

October 2023 IPR Specifics

An HHA will receive an IPR during the calendar year (CY) 2023 performance year if the HHA:

  • Was Medicare-certified prior to January 1, 2022, and
  • Meets the minimum threshold of data for at least one (1) quality measure in the quarterly reporting period for the performance year.

The table below shows the quality measure categories, data collection time periods, and minimum thresholds of data for the expanded HHVBP Model October IPR.

Measure Category Data Collection Time Period Minimum Threshold of Data 
OASIS-based* July 1, 2022 – June 30, 2023 20 home health quality episodes 
Claims-based April 1, 2022 – March 31, 2023 20 home health stays 
HHCAHPS Survey-based April 1, 2022 – March 31, 2023 40 completed surveys 

* Note: Due to unforeseen circumstances, CMS has decided to hold constant the OASIS based measure results for the Total Normalized Composite (TNC) Change in Mobility and TNC Change in Self-Care measures for the October 2023 IPRs. As a result, HHAs will see the same performance measure values in the October 2023 IPRs that were reported on the July 2023 IPRs for these two OASIS-based measures. The performance periods for the remaining three (3) OASIS-based measures, claims-based measures, and HHCAHPS Survey-based measures remain as planned and shown above. CMS anticipates returning to a normal reporting schedule for the January 2024 IPRs.

Why are there 2 versions of the IPRs – Preliminary and Final?

The Preliminary IPR provides an HHA with the opportunity to submit a recalculation request for applicable measures and the interim performance score if the agency believes there is evidence of a discrepancy in the calculation.

To dispute the calculation of the performance scores in the Preliminary IPR, an HHA must submit a recalculation request within 15 calendar days after publication of the Preliminary IPR. The instructions are available on the Expanded HHVBP Model webpage, under “Model Reports.” The Final IPR will reflect any changes resulting from an approved recalculation.


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